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Breast Care Navigator Survey for McLaren Greater Lansing
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Breast Care Navigator Survey for McLaren Greater Lansing
McLaren Greater Lansing Patient Navigator Survey
*Indicates required information
Takes time to answer your questions and listen to your concerns:
*
5 (very good)
4 (good)
3 (fair)
2 (poor)
1 (very poor)
N/A
Explaining things in a way you could understand:
*
5 (very good)
4 (good)
3 (fair)
2 (poor)
1 (very poor)
N/A
Effectiveness of literature provided (if applicable):
*
5 (very good)
4 (good)
3 (fair)
2 (poor)
1 (very poor)
N/A
Instructions regarding appointments/follow-up care:
*
5 (very good)
4 (good)
3 (fair)
2 (poor)
1 (very poor)
N/A
Navigators knowledge of cancer and treatment optionss:
*
5 (very good)
4 (good)
3 (fair)
2 (poor)
1 (very poor)
N/A
Returning calls in a timely manner:
*
5 (very good)
4 (good)
3 (fair)
2 (poor)
1 (very poor)
N/A
Identification and assistance with barriers to treatment (ie Insurance, Financial concerns, Transportation, etc.):
*
5 (very good)
4 (good)
3 (fair)
2 (poor)
1 (very poor)
N/A
Did you find it helpful when the Navigator attended your physician appointments with you?
*
5 (very good)
4 (good)
3 (fair)
2 (poor)
1 (very poor)
N/A
Overall rating of care from your Navigator:
*
5 (very good)
4 (good)
3 (fair)
2 (poor)
1 (very poor)
N/A
How were you referred to the Navigator?
Would you recommend the Navigator to others?
yes
no
Why or why not?
strong>
If there is any way we can improve our services to you, please tell us about it.
Your age:
18-30
31-40
41-50
51-60
61-70
Over 70
Sex:
male
female
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